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GRANT SMITH
NPI 1124582457
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since January 31, 2019
1107 S PROVIDENCE RD, COLUMBIA, MO 65211(407) 376-3135 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grant Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT SMITH (NPI 1124582457) is an individual student in an organized health care education/training program in Columbia, Missouri and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1124582457
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT SMITH
Location Address1107 S PROVIDENCE RDColumbia, MO 65211-0001
Mailing Address1828 Marigold CtChanhassen, MN 55317-4545
Phone(407) 376-3135
Sole ProprietorNo
Enumeration DateJanuary 31, 2019
✔ NPI 1124582457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1107 S PROVIDENCE RD, Columbia, MO 65211
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH KIRBY JASINSKI
Specialist/Technologist (Athletic Trainer)
1107 S PROVIDENCE RD
COLUMBIA, MO 65211
Callaway County (660) 853-0110
MRS. BRITTANY AMBER FASSBINDER LCSW
Social Worker
1107 S PROVIDENCE RD
COLUMBIA, MO 65211
Callaway County (573) 239-8497

Frequently Asked Questions

What is Grant Smith's NPI number?

The NPI number assigned to this healthcare provider is 1124582457, enumerated as an "individual" on January 31, 2019.

Where is the provider located?

The provider is located at 1107 S PROVIDENCE RD COLUMBIA, MO 65211 and the phone number is (407) 376-3135.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.